SOURCES: National Academy of Social Insurance estimates based on data received from state agencies, the Department of Labor, A.M. Best Company, and the National Council on Compensation Insurance.

NOTES: Beginning in 1959, includes Alaska and Hawaii. States periodically update prior-year data, and any such changes are included in the current table.

Totals do not necessarily equal the sum of rounded components.

a. Total costs to employers who purchase insurance from private carriers and state funds consist of premiums written in the calendar year plus the payments made under deductible provisions. For self-insured employers, the costs include benefit payments and administrative costs.

d. Net cash and medical benefits paid by competitive and exclusive state funds and federal benefits, including those paid under the Federal Employees' Compensation Act for civilian employees; the portion of the Black Lung benefit program that is financed by employers; and a portion of benefits under the Longshore and Harbor Workers' Compensation Act that are not reflected in state data, namely, benefits paid by self-insured employers and by special funds under the LHWCA.

b. Federal benefits include those paid under the Federal Employees' Compensation Act for civilian employees; the portion of the Black Lung benefit program that is financed by employers; and a portion of benefits under the Longshore and Harbor Workers' Compensation Act that are not reflected in state data, namely, benefits paid by self-insured employers and special funds under the LHWCA.

Table 9.B3 Benefits paid by type of insurer and medical benefits paid, by state and federal program, 2009 (in thousands of dollars)

Program

Benefits paid by type of insurer

Medical benefits paid

Total a

Private carriers b

State funds

Self-insurance c

Total

As a percentage of total benefits

Total, state and federal

58,326,816

30,459,597

10,118,061

14,206,553

28,940,005

49.6

State programs

Subtotal

54,784,211

30,459,597

10,118,061

14,206,553

27,900,839

50.9

Alabama

625,755

297,824

. . .

327,930

423,010

67.6

Alaska

213,372

156,254

. . .

57,119

141,679

66.4

Arizona

650,730

225,639

315,649

109,442

404,103

62.1

Arkansas

216,216

150,642

. . .

65,574

142,270

65.8

California

9,317,794

4,814,138

1,607,715

2,895,941

5,065,094

54.4

Colorado

884,044

245,494

385,554

252,997

443,790

50.2

Connecticut

834,673

621,327

. . .

213,347

363,083

43.5

Delaware

205,972

160,236

. . .

45,736

113,491

55.1

District of Columbia

91,940

78,046

. . .

13,894

34,477

37.5

Florida

2,977,465

1,924,139

. . .

1,053,326

1,917,488

64.4

Georgia

1,492,696

1,097,153

. . .

395,543

737,392

49.4

Hawaii

244,375

131,780

30,571

82,023

105,081

43.0

Idaho

266,461

85,223

149,948

31,291

163,607

61.4

Illinois

2,979,286

2,256,602

. . .

722,684

1,427,078

47.9

Indiana

611,792

544,868

. . .

66,924

434,984

71.1

Iowa

556,817

434,115

. . .

122,702

300,681

54.0

Kansas

418,656

306,423

. . .

112,233

247,844

59.2

Kentucky

737,392

387,820

116,655

232,917

421,051

57.1

Louisiana

839,580

434,395

135,109

270,075

455,052

54.2

Maine

263,512

90,499

96,250

76,762

121,742

46.2

Maryland

895,905

463,558

210,192

222,156

399,574

44.6

Massachusetts

950,390

748,427

. . .

201,963

325,480

34.2

Michigan

1,509,881

958,184

. . .

551,697

533,944

35.4

Minnesota

1,082,620

760,135

54,046

268,439

564,005

52.1

Mississippi

318,499

184,327

. . .

134,171

188,870

59.3

Missouri

834,075

556,200

84,185

193,689

456,239

54.7

Montana

254,118

84,905

127,934

41,279

144,339

56.8

Nebraska

304,156

236,868

. . .

67,287

184,014

60.5

Nevada

432,690

293,133

. . .

139,557

199,470

46.1

New Hampshire

230,971

184,713

. . .

46,257

141,585

61.3

New Jersey

2,002,875

1,563,464

. . .

439,411

973,877

48.6

New Mexico

282,633

158,641

36,386

87,606

169,297

59.9

New York

4,146,728

1,797,434

1,096,455

1,252,838

1,990,429

48.0

North Carolina

1,408,926

1,059,199

. . .

349,728

629,790

44.7

North Dakota

110,526

. . .

110,526

. . .

66,866

60.5

Ohio

2,353,384

20,968

1,925,330

407,086

998,833

42.4

Oklahoma

824,855

369,263

262,060

193,532

356,337

43.2

Oregon

623,095

237,286

278,987

106,822

324,009

52.0

Pennsylvania

2,901,339

1,975,878

310,215

615,246

1,333,716

46.0

Rhode Island

157,720

56,795

79,856

21,069

52,678

33.4

South Carolina

891,830

651,014

56,633

184,183

368,326

41.3

South Dakota

93,578

90,019

. . .

3,558

61,200

65.4

Tennessee

783,903

605,574

. . .

178,329

422,524

53.9

Texas

1,595,358

917,000

348,518

329,840

950,833

59.6

Utah

295,624

109,973

136,676

48,975

204,276

69.1

Vermont

144,054

124,564

. . .

19,490

71,163

49.4

Virginia

873,483

658,203

. . .

215,280

505,747

57.9

Washington

2,312,186

19,007

1,756,175

537,003

807,719

34.9

West Virginia d

490,531

173,769

271,671

45,091

177,581

36.2

Wisconsin

1,113,240

956,730

. . .

156,511

765,593

68.8

Wyoming

136,515

1,751

134,764

. . .

69,525

50.9

Federal programs e

Subtotal

3,542,605

. . .

. . .

. . .

1,039,167

29.3

Civilian employee

2,763,885

. . .

. . .

. . .

863,729

31.3

Other

778,720

. . .

. . .

. . .

175,438

22.5

SOURCES: National Academy of Social Insurance estimates based on data received from state agencies, the Department of Labor, A.M. Best Company, and the National Council on Compensation Insurance.

NOTES: Totals do not necessarily equal the sum of rounded components.

. . . = not applicable.

a. These data may not include second injury fund for all states and may understate total payments.

b. States with exclusive funds (North Dakota, Ohio, Washington, and Wyoming) may have small amounts of benefits paid by private carriers. This is because some employers doing business in states with exclusive funds may be required by Longshore and Harbor Workers' Compensation Act (LHWCA) provisions to obtain coverage from private carriers, or may obtain employer's liability coverage that the state fund is not authorized to provide. In addition, private carriers may provide excess compensation coverage in some of these states.

c. Includes individual self-insurers and group self-insurance.

d. In 2008, West Virginia completed the transition from an exclusive state fund to a competitive fund. All benefits for workers injured after the transition are paid by private carriers.

e. Federal benefits include those paid under the Federal Employees' Compensation Act for civilian employees; the portion of the Black Lung benefit program that is financed by employers; and a portion of benefits under the LHWCA that are not reflected in state data, namely, benefits paid by self-insured employers and special funds under the LHWCA.